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Article: Volume 48 Number 2 Page 135 - February 2021

  Dent Update 2021; 48: 135-139  Read article

Paediatric dentistry:  Non-syndromic Oligodontia in Siblings: A Spectrum of Experience

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Abstract: Non-syndromic oligodontia, the agenesis of six or more teeth, has a prevalence of 0.14–0.25%. Genetic, epigenetic and environmental influences affect expression. Three brothers presented with agenesis of 14, 21 and 23 permanent teeth, respectively. They were medically well, with no relevant family history. Each case presented with caries, microdontia and attritive tooth surface loss. Comprehensive care was delivered in each case by undergraduate dental students. Individualized prevention and stabilization were completed before referral for multidisciplinary long-term planning. Primary dental care practitioners are instrumental in delivering preventive care and stabilizing the dentition in cases of dental anomaly, while sharing care with specialist teams.

Clinical relevance: An unusual presentation of non-syndromic oligodontia relevant to primary dental care practitioners who are likely to provide the first clinical contact and referral to the wider multidisciplinary team.

Author notes: Claudia Heggie, BDS, MFDS (Ed), Dental Core Trainee, Liverpool University Dental Hospital and L Gartshore, BDS (Hons), MFDS RCS (Ed), MPaed Dent RCS (Eng), FDS RCS (Eng), MFDT RCS (Ed), PGCLTHE, FHEA, PhD, Senior Lecturer and Honorary Consultant Paediatric Dentistry, School of Dentistry, Liverpool University; member of Liverpool Health Partners. email: claudia.heggie@nhs.net

Objective: To demonstrate how preventable disease experience, dental anxiety and a child’s ability to accept dental intervention, may affect management of complex dentitions.